Search › New York › 164W00000X

Michele Vandawalker

NPI 1578946828 · on the registry since 2015 · sole proprietor

Practice

Address
17 Buchanan St
Ilion, NY 13357
Phone
(315) 404-5353

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York